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South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde

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https://www.readbyqxmd.com/read/30421699/south-african-dyslipidaemia-guideline-consensus-statement-2018-update-a-joint-statement-from-the-south-african-heart-association-sa-heart-and-the-lipid-and-atherosclerosis-society-of-southern-africa-lassa
#1
E Klug, F J Raal, A D Marais, C M Smuts, C Schamroth, D Jankelow, D J Blom, D A Webb
South Africa (SA) is home to a heterogeneous population with a wide range of cardiovascular risk factors. Cholesterol reduction in combination with aggressive management of modifiable risk factors, including nutrition, physical activity, blood pressure and smoking, can help to reduce and prevent morbidity and mortality in individuals who are at increased risk of cardiovascular events. This updated consensus guide to management of dyslipidaemia in SA is based on the updated European Society of Cardiology and European Atherosclerosis Society dyslipidaemia guidelines published in 2016...
October 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421718/the-demographic-and-clinical-profiles-of-women-presenting-with-vaginal-discharge-syndrome-at-primary-care-facilities-in-south-africa-associations-with-age-and-implications-for-management
#2
T Kufa, L Gumede, D V Maseko, F Radebe, R Kularatne
BACKGROUND: Current South African guidelines for the management of vaginal discharge syndrome (VDS) do not recommend treatment for sexually transmitted infection (STI) pathogens for women aged ≥35 years whose partners do not have male urethritis syndrome. The guideline assumes that older women are unlikely to have an STI and that their partners do not have asymptomatic infections. OBJECTIVES: To describe the demographic, behavioural and clinical characteristics of women with VDS, comparing older women (≥35 years) with younger women, and to determine the performance of age alone as a criterion for predicting the presence of STI...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421717/can-routine-inpatient-mortality-data-improve-hiv-mortality-estimates-inpatient-mortality-at-an-urban-hospital-in-south-africa
#3
L C Long, D Evans, S Rosen, C Sauls, A T Brennan, I M Sanne, M P Fox
BACKGROUND: South Africa (SA) has one of the world's largest HIV treatment programmes, to which a dramatic increase in life expectancy has been attributed. However, there continue to be concerns regarding the reporting of HIV-related mortality in SA, which varies by source. As accurate HIV mortality estimates are key to measuring the success of the national programme as well as identifying areas for improvement, we propose a complementary approach to monitoring changes in HIV-related mortality using routine inpatient records to examine trends in causes of death and HIV status over time...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421716/is-the-intravenous-giving-set-a-reliable-alternative-to-the-spinal-manometer-in-measuring-cerebrospinal-fluid-opening-pressure
#4
T A Mogambery, A Moodley, C Connolly
BACKGROUND: Measurement of the cerebrospinal fluid (CSF) opening pressure (OP) during lumbar puncture (LP) should be routine practice. In resource-limited centres, spinal manometers are seldom available and alternative procedures to measure CSF OP are undertaken. OBJECTIVES: To investigate whether the intravenous giving set (IVGS) with a measuring tape is a reliable alternative to the spinal manometer. METHODS: One hundred patients requiring CSF examination by LP were consecutively recruited in the Department of Medicine at Edendale Hospital, Pietermaritzburg, South Africa...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421715/retrospective-case-series-analysis-of-haematological-malignancies-in-goldmining-areas-of-south-africa
#5
T Inamasu, M Patel, C Espina, A Pentz, M Joffe, F Winde, J Schüz
BACKGROUND: South Africa (SA)'s high levels of environmental contamination of mine tailings from uranium and its decay products, coupled with remarkably short distances between mine tailings and residential areas, raise concern about whether there is an association between environmental uranium exposure and risk of cancer, including haematological malignancies. OBJECTIVES: We reviewed information on cases from the central hospital offering cancer diagnostics and treatment in a major mining area of SA to describe their basic clinical and demographic characteristics, as part of assessing whether a cancer epidemiological study in this area would be feasible...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421714/-going-the-extra-mile-supervisors-perspectives-on-what-makes-a-good-intern
#6
M De Villiers, B Van Heerden, S Van Schalkwyk
BACKGROUND: Much has been published on whether newly graduated doctors are ready for practice, seeking to understand how to better prepare graduates for the workplace. Most studies focus on undergraduate education as preparation for internship by investigating knowledge and skills in relation to clinical proficiencies. The conversion from medical student to internship, however, is influenced not only by medical competencies, but also by personal characteristics and organisational skills...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421713/preoperative-serum-sodium-measurements-and-postoperative-inpatient-mortality-a-case-control-analysis-of-data-from-the-south-african-surgical-outcomes-study
#7
M Ramburuth, Y Moodley, P D Gopalan
BACKGROUND: Abnormal preoperative serum sodium measurements have been shown to be associated with increased postoperative mortality in US and European surgical populations. It is possible that such measurements are also associated with increased postoperative mortality in a South African (SA) setting, but this is yet to be confirmed. Establishing whether preoperative serum sodium measurements are associated with postoperative mortality could have implications for perioperative risk stratification in SA settings...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421712/preoperative-anaemia-and-clinical-outcomes-in-the-south-african-surgical-outcomes-study
#8
D Marsicano, N Hauser, F Roodt, E Cloete, W Conradie, V Morford, D Nel, D G Bishop, T E Madiba, B M Biccard On Behalf Of The South African Surgical Outcomes Study Investigators
BACKGROUND: In high-income countries, preoperative anaemia has been associated with poor postoperative outcomes. To date, no large study has investigated this association in South Africa (SA). The demographics of SA surgical patients differ from those of surgical patients in the European and Northern American settings from which the preoperative anaemia data were derived. These associations between preoperative anaemia and postoperative outcomes are therefore not necessarily transferable to SA surgical patients...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421711/appendicectomy-in-private-practice-in-kwazulu-natal-province-south-africa
#9
R P Mills, D L Clarke, V Y Kong
BACKGROUND: The treatment of appendicitis is regarded as a bellwether procedure that can be used to describe the delivery of essential surgical care. Little has been published on clinical outcomes in the private sector in South Africa (SA), and this study attempts to address this deficiency. OBJECTIVES: To extend our understanding of the outcomes of acute appendicitis in the public and private sectors in SA. METHODS: Data on patients covered by a leading medical aid who underwent appendicectomy in 26 private hospitals in Durban and Pietermaritzburg, KwaZulu-Natal Province, during the period 2010 - 2015 were obtained and compared with existing data from a recent study of patients with appendicitis treated in the Pietermaritzburg academic complex...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421710/juvenile-idiopathic-arthritis-flare-due-to-rice-bodies-in-the-knee-of-a-10-year-old-girl
#10
G Faller, M Haagensen, M Barrow
A 10-year-old girl with juvenile idiopathic arthritis in remission presented with a flare of her arthritis. All her joints responded to treatment except the right knee, despite the use of disease-modifying antirheumatic drugs, non-steroidal anti-inflammatory medication and high-dose cortisone. A magnetic resonance imaging scan showed a knee densely packed with rice bodies. After surgical removal of the rice bodies the inflammation settled once again, and the patient remains well on her usual medication.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421709/research-ethics-committees-in-a-tight-spot-approving-consent-strategies-for-child-research-that-are-prima-facie-illegal-but-are-ethical-in-terms-of-national-guidelines
#11
A E Strode, P P Singh, C M Slack, D R Wassenaar
It is an internationally accepted principle that ethics norms should be applied and enforced in research with humans through ethics review by research ethics committees (RECs). This places RECs at the very heart of the system for protecting participants and enforcing their rights. In the South African ethical-legal framework for child research, there are divergent approaches to consent. That is, section 71 of the National Health Act (No. 61 of 2003) (NHA) requires mandatory parental consent for child research, and limits the authority for proxy consent to parents and legal guardians...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421708/neonatal-listeriosis-during-a-countrywide-epidemic-in-south-africa-a-tertiary-hospital-s-experience
#12
A Dramowski, L G Lloyd, A Bekker, S Holgate, M Aucamp, K Reddy, H Finlayson
BACKGROUND: A countrywide epidemic of Listeria monocytogenes (LM) in South Africa began in the first quarter of 2017, rapidly becoming the world's largest LM outbreak to date. METHODS: We describe the clinical course of neonates with culture-confirmed LM infection admitted to a tertiary neonatal unit at Tygerberg Hospital, Cape Town (1 January 2017 - 31 January 2018). Current epidemic LM cases were compared with a historical cohort of sporadic neonatal LM cases at our institution (2006 - 2016)...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421707/mortality-analysis-of-people-with-severe-mental-illness-transferred-from-long-stay-hospital-to-alternative-care-in-the-life-esidimeni-tragedy
#13
L J Robertson, M W Makgoba
A mortality analysis of the Life Esidimeni tragedy was precluded during the investigation by the Health Ombud by the lack of data integrity. Information on the mental healthcare users (MHCUs) transferred out of Life Esidimeni hospitals between October 2015 and June 2016 was subsequently collected by the Gauteng Department of Health, permitting statistical analysis. Survival rates were calculated according to gender and transfer destination and adjusted for patient age. Mortality was compared with that of the general population for the calendar year of 2016...
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421706/use-of-the-consent-provisions-of-the-choice-on-termination-of-pregnancy-act-for-live-births-by-caesarean-section-when-unable-to-follow-the-procedures-in-the-children-s-act
#14
D J McQuoid-Mason
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421705/towards-timely-diagnosis-of-symptomatic-breast-and-cervical-cancer-in-south-africa
#15
J Moodley, F M Walter, S E Scott, A M Mwaka
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421704/developing-an-advocacy-agenda-for-increasing-access-to-opioid-substitution-therapy-as-part-of-comprehensive-services-for-people-who-use-drugs-in-south-africa
#16
A Scheibe, M Marks, S Shelly, T Gerardy, A K Domingo, J Hugo
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421703/extended-spectrum-beta-lactamase-producing-escherichia-coli-harbouring-mcr-1-gene-isolated-from-pigs-in-south-africa
#17
L L Founou, R C Founou, M Allam, A Ismail, S Y Essack
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421702/child-mortality-in-south-africa-is-the-sustainable-development-goal-3-2-target-achievable-with-current-efforts
#18
T Doherty, M Kroon, N Rhoda, D Sanders
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421701/role-of-procalcitonin-in-paediatric-burn-wound-sepsis
#19
R Martinez, H Rode
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30421700/the-prevalence-of-child-sexual-abuse-in-south-africa-the-optimus-study-south-africa
#20
L Artz, C L Ward, L Leoschut, R Kassanjee, P Burton
No abstract text is available yet for this article.
October 2, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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